HERCA

• Site conducted

  Select

• Document Nbr.

• Audit Type

  HERCA

• Tahun

  Select 2015 2016 2017 2018 2019 2020

  • 2015
  • 2016
  • 2017
  • 2018
  • 2019
  • 2020

• Audit ke- (restart jika ganti tahun)

• Short Description

1. LOSS DEFINITION / Definisi Loss

• Description of the task and people loss

Analysis Done by :

• Departemen

  Production

  Engineering

  QPC / Boiler

• Analyst / Penganalisa

  Select Aep Aput Asman Bahar Eko Fajar Halim Hamzah Hermanto Iman Khairol Khairulloh Mugni Reza Sarman Sugiharto Suhono Sunarto Tajuddin Takiyuddin Usman Yuda

  • Aep
  • Aput
  • Asman
  • Bahar
  • Eko
  • Fajar
  • Halim
  • Hamzah
  • Hermanto
  • Iman
  • Khairol
  • Khairulloh
  • Mugni
  • Reza
  • Sarman
  • Sugiharto
  • Suhono
  • Sunarto
  • Tajuddin
  • Takiyuddin
  • Usman
  • Yuda

• Analyst / Penganalisa

  Select A Asep U A Faozan Agus W Andri Ardi Deddy Joko S Kusno Rahayu Sahroni Yudhan

  • A Asep U
  • A Faozan
  • Agus W
  • Andri
  • Ardi
  • Deddy
  • Joko S
  • Kusno
  • Rahayu
  • Sahroni
  • Yudhan

• Analyst / Penganalisa

  Select Abbas Achmad Mahmudi A. Fahrul Rozi Amrullah Andi Zaenal Muttaqin Joko Prasetya Icen Sampurna Indar Dwi Basuki Nana Suryana Sriyono Tono Santana Wahyu Ariadi Wahyu M. Ikhsan Zainal Arifin

  • Abbas
  • Achmad Mahmudi
  • A. Fahrul Rozi
  • Amrullah
  • Andi Zaenal Muttaqin
  • Joko Prasetya
  • Icen Sampurna
  • Indar Dwi Basuki
  • Nana Suryana
  • Sriyono
  • Tono Santana
  • Wahyu Ariadi
  • Wahyu M. Ikhsan
  • Zainal Arifin

• Tanggal dilakukan HERCA

  Date

• HERCA Trigger / Sumber HERCA

  Select EWO (Enhanced Work Order) SFA (Service Failure Analysis) SHEARO (Safety Health Environment Analysis Report)

  • EWO (Enhanced Work Order)
  • SFA (Service Failure Analysis)
  • SHEARO (Safety Health Environment Analysis Report)

• Reference Number :

2. TASK FREQUENCY ANALYSIS / Analisa Frekuensi Pekerjaan

• Task Frequency / Frekuensi dari pekerjaan

  New Task / Tugas Baru

  Routine (Daily) / Rutin

  Regular (weekly / Monthly) / Regular (mingguan / bulanan)

  Non-Routine (Occasional) / Tidak Rutin

3. PERSON EXPERIENCE ANALYSIS / Analisa Pengalaman Karyawan

• Jobs Experience / Pengalaman Kerja

  New Job / Pekerjaan Baru

  Less than a week / Kurang dari seminggu

  Less than a month / Kurang dari sebulan

  Month's service / Beberapa bulan bekerja

  Years' service / Beberapa tahun bekerja

• Bulan dalam bekerja

  2 - 3 bulan

  3 - 6 bulan

  6 - 9 bulan

  9 -12 bulan

• Tahun dalam bekerja

  1-2 Tahun

  3-5 Tahun

  lebih dari 5 Tahun

4. TASK ANALYSIS / Analisa Pekerjaan

How the task is done in actual

• Please explain how you do this task / Jelaskan bagaimana anda melakukan pekerjaan ini

• Evidence / Bukti

  Media

• Classification / Klasifikasi

  A. Task Fully Understood / Tugas benar-benar dimengerti

  B. Task not Completely Understood / Tugas tidak dimengerti sepenuhnya

  C. Lack of Knowledge of Task / Kurang pengetahuan dari pekerjaan

Understanding if the task is correct or not

• Please explain how you know that you are doing this task correctly

• Evidence / Bukti

  Media

• Classification / Klasifikasi

  A. Task Fully Understood / Tugas benar-benar dimengerti

  B. Task not Completely Understood / Tugas tidak dimengerti sepenuhnya

  C. Lack of Knowledge of Task / Kurang pengetahuan dari pekerjaan

Understanding of the impact of what he do

• Please explain how you know whether the outcome of this task is defect free or error free / Jelaskan bagaimana anda tahu hasil kerja anda tidak menimbulkan cacat dan masalah lain.

• Evidence / Bukti

  Media

• Classification / Klasifikasi

  A. Task Fully Understood / Tugas benar-benar dimengerti

  B. Task not Completely Understood / Tugas tidak dimengerti sepenuhnya

  C. Lack of Knowledge of Task / Kurang pengetahuan dari pekerjaan

Understanding what needs to be done if the problem occured

• If you were to find a problem or a defect or error while doing this task, please explain what you would do / Jika terjadi kesalahan, atau cacat atau masalah yang lain ketika mengerjakan pekerjaan ini, jelaskan tindakan yang diambil

• Evidence / Bukti

  Media

• Classification / Klasifikasi

  A. Task Fully Understood / Tugas benar-benar dimengerti

  B. Task not Completely Understood / Tugas tidak dimengerti sepenuhnya

  C. Lack of Knowledge of Task / Kurang pengetahuan dari pekerjaan

5. FIRST LEVEL CAUSE ANALYSIS / Analisa Penyebab Tingkat Pertama

• DEVIATION / Penyimpangan -Failure to follow rules, procedures or instructions. THis can be unintentionally or deliberate. (Response A)

• PROCEDURES & SYSTEMS

• Procedures & Systems Causes

  Select No written and approved SOP available Lack of Standard in the SOP Procedure is inadequate with insufficient detail to do task correctly Procedure is too difficult or complex Procedure is not relevant to current working practices New changes have not been incorporated into written SOP

  • No written and approved SOP available
  • Lack of Standard in the SOP
  • Procedure is inadequate with insufficient detail to do task correctly
  • Procedure is too difficult or complex
  • Procedure is not relevant to current working practices
  • New changes have not been incorporated into written SOP

• EQUIPMENT & TOOLS

• Equipment & Tools Causes

  Select Required equipment/tool not available Incorrectly specified equipment/tool being used Equipment/tools not suitable Equipment/tools not working correctly Equipment/tools poorly maintained Equipment/tools poorly designed Poor ergonomic design of tools/equipment PPE being used is not suitable

  • Required equipment/tool not available
  • Incorrectly specified equipment/tool being used
  • Equipment/tools not suitable
  • Equipment/tools not working correctly
  • Equipment/tools poorly maintained
  • Equipment/tools poorly designed
  • Poor ergonomic design of tools/equipment
  • PPE being used is not suitable

• ABILITY / Kemampuan -Understand the task but there is mismatch between the person physical or mental ability and the actual requirement to do the task (Response A)

• ENVIRONMENT or WORK PLACE ORGANIZATION

• Environmental or Workplace Organization Causes

  Select Workplace Layout Inadequate Housekeeping or orderliness inadequate Access issue Workplace environment/weather condition Lighting/Noise problem Vehicle/Pedestrian traffic system inadequate Inadequate signage/instructions/barriers

  • Workplace Layout Inadequate
  • Housekeeping or orderliness inadequate
  • Access issue
  • Workplace environment/weather condition
  • Lighting/Noise problem
  • Vehicle/Pedestrian traffic system inadequate
  • Inadequate signage/instructions/barriers

• MANAGEMENT & SUPERVISION

• Management & Supervision Causes

  Select Persons has not been trained to the required standards No validation or verification of training Procedures not made available at point of use Organisation or responsibilities are unclear Lack of resource or time made available to do the task correctly Lack of supervision/leadership/coaching

  • Persons has not been trained to the required standards
  • No validation or verification of training
  • Procedures not made available at point of use
  • Organisation or responsibilities are unclear
  • Lack of resource or time made available to do the task correctly
  • Lack of supervision/leadership/coaching

LOKASI

• Process Area

  Select A. Rock Handling B. Mill and Calcining C. Stucco Conditioning D. HRA Production E. Wet Additives F. Stucco and Dry Additives Circuit G. Paper Preparation H. Mixing and Forming I. Wet End Transfer J. Dryer Inlet K. Dryer L. Dryer Outlet M. Bundler and Take Off N1. Boiler N2. HGG N3. Steam Distribution S. Utilities and Plant Services Others

  • A. Rock Handling
  • B. Mill and Calcining
  • C. Stucco Conditioning
  • D. HRA Production
  • E. Wet Additives
  • F. Stucco and Dry Additives Circuit
  • G. Paper Preparation
  • H. Mixing and Forming
  • I. Wet End Transfer
  • J. Dryer Inlet
  • K. Dryer
  • L. Dryer Outlet
  • M. Bundler and Take Off
  • N1. Boiler
  • N2. HGG
  • N3. Steam Distribution
  • S. Utilities and Plant Services
  • Others

• Equipment

  Select

• Equipment

  Select

• Equipment

  Select

• Equipment

  Select

• Equipment

  Select

• Equipment

  Select

• Equipment

  Select

• Equipment

  Select

• Equipment

  Select

• Equipment

  Select

• Equipment

  Select

• Equipment

  A01. Rock Hopper

  A02. Recycle Hopper

  A0X. Trommel Screen

• Equipment

  Select

• Equipment

  Select

• Equipment

  Select

• Equipment

  Select

• Equipment

  Select

• Please specify

PRIORITAS

• Prioritas

  A - Hari yang sama

  B - 1 Minggu

  C - 1 Bulan

CORRECTIVE ACTION

• Done by Departemen :

  Production

  Engineering

  QPC / Boiler

• PIC :

  Select Aep Aput Asman Bahar Eko Fajar Halim Hamzah Hermanto Iman Khairol Khairulloh Mugni Reza Sarman Sugiharto Suhono Sunarto Tajuddin Takiyuddin Usman Yuda

  • Aep
  • Aput
  • Asman
  • Bahar
  • Eko
  • Fajar
  • Halim
  • Hamzah
  • Hermanto
  • Iman
  • Khairol
  • Khairulloh
  • Mugni
  • Reza
  • Sarman
  • Sugiharto
  • Suhono
  • Sunarto
  • Tajuddin
  • Takiyuddin
  • Usman
  • Yuda

• PIC :

  Select A Asep U A Faozan Agus W Andri Ardi Deddy Joko S Kusno Rahayu Sahroni Yudhan

  • A Asep U
  • A Faozan
  • Agus W
  • Andri
  • Ardi
  • Deddy
  • Joko S
  • Kusno
  • Rahayu
  • Sahroni
  • Yudhan

• No. WR :

• PIC :

  Select Abbas Achmad Mahmudi A. Fahrul Rozi Amrullah Andi Zaenal Muttaqin Joko Prasetya Icen Sampurna Indar Dwi Basuki Nana Suryana Sriyono Tono Santana Wahyu Ariadi Wahyu M. Ikhsan Zainal Arifin

  • Abbas
  • Achmad Mahmudi
  • A. Fahrul Rozi
  • Amrullah
  • Andi Zaenal Muttaqin
  • Joko Prasetya
  • Icen Sampurna
  • Indar Dwi Basuki
  • Nana Suryana
  • Sriyono
  • Tono Santana
  • Wahyu Ariadi
  • Wahyu M. Ikhsan
  • Zainal Arifin

• No. WO :

• Tanggal Selesai dilakukan Corrective Action

  Date

• Corrective Action Taken

• Jika ada modifikasi/perubahan, apakah Risk Assessment sudah dilakukan?

• Apakah ada di bawah ini yang harus di update setelah action selesai dilakukan?

Hal yang harus diupdate -

• undefined

  Select Prosedur Pengoperasian Prosedur Keselamatan Standard Cleaning Standard Lubrikasi Standard Inspeksi Standard Mekanikal Standard Elektrikal Dokumentasi Software Dokumentasi Maintenance

  • Prosedur Pengoperasian
  • Prosedur Keselamatan
  • Standard Cleaning
  • Standard Lubrikasi
  • Standard Inspeksi
  • Standard Mekanikal
  • Standard Elektrikal
  • Dokumentasi Software
  • Dokumentasi Maintenance

• Done by Departemen :

  Production

  Engineering

  QPC / Boiler

• PIC :

  Select Aep Aput Asman Bahar Eko Fajar Halim Hamzah Hermanto Iman Khairol Khairulloh Mugni Reza Sarman Sugiharto Suhono Sunarto Tajuddin Takiyuddin Usman Yuda

  • Aep
  • Aput
  • Asman
  • Bahar
  • Eko
  • Fajar
  • Halim
  • Hamzah
  • Hermanto
  • Iman
  • Khairol
  • Khairulloh
  • Mugni
  • Reza
  • Sarman
  • Sugiharto
  • Suhono
  • Sunarto
  • Tajuddin
  • Takiyuddin
  • Usman
  • Yuda

• PIC :

  Select A Asep U A Faozan Agus W Andri Ardi Deddy Joko S Kusno Rahayu Sahroni Yudhan

  • A Asep U
  • A Faozan
  • Agus W
  • Andri
  • Ardi
  • Deddy
  • Joko S
  • Kusno
  • Rahayu
  • Sahroni
  • Yudhan

• PIC :

  Select Abbas Achmad Mahmudi A. Fahrul Rozi Amrullah Andi Zaenal Muttaqin Joko Prasetya Icen Sampurna Indar Dwi Basuki Nana Suryana Sriyono Tono Santana Wahyu Ariadi Wahyu M. Ikhsan Zainal Arifin

  • Abbas
  • Achmad Mahmudi
  • A. Fahrul Rozi
  • Amrullah
  • Andi Zaenal Muttaqin
  • Joko Prasetya
  • Icen Sampurna
  • Indar Dwi Basuki
  • Nana Suryana
  • Sriyono
  • Tono Santana
  • Wahyu Ariadi
  • Wahyu M. Ikhsan
  • Zainal Arifin

• Tanggal direncanakan

  Date

• Selesai dilakukan

  Date

• Training yang dibutuhkan

HERCA STATUS

• Status

  1. HERCA Raised

  2. HERCA Action On Progress

  3. HERCA Action Completed

• Tertanda,

  Sign